Insurance Claims Resolution Specialist

March 4

⛰️ Colorado – Remote

Although this job is listed in Colorado, this company may be open to hiring remote in other states.

💵 $16 - $20 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

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The Staff Pad

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The Staff Pad is a subscription-based staffing agency that specializes in recruiting talent across a variety of industries, including healthcare, information technology, consulting, and more. They aim to help organizations grow by providing skilled professionals ranging from nurses and IT experts to executive leaders and construction managers, ensuring clients find the right talent to drive success. The company is dedicated to streamlining the recruitment process for businesses while also supporting candidates in finding new job opportunities in their respective fields.

Recruiting • SaaS • Staffing • HR • Payroll

11 - 50 employees

Founded 2020

🎯 Recruitment

📋 Description

• This is a remote position. • The Staff Pad has partnered with one of Colorado’s largest accounts receivable management companies to hire an Insurance Claims Resolution Specialist. • Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles. • As an Insurance Claims Resolution Specialist, you are responsible for resolving outstanding balances on insurance accounts for various clients. • This role involves handling claims, billing, and appeals to ensure accurate and timely account resolutions. • Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims. • Trace missing payments and escalate coding issues when necessary. • Manage correspondence as assigned by the client. • Post adjustments in client systems when required. • Communicate with payers via phone and web portals. • Provide continuous updates to clients through phone, email, and in-person communication. • Escalate any trends or issues requiring additional attention to the Manager/Supervisor. • Perform other duties as required. • Strong problem analysis and resolution skills. • Excellent verbal and written communication abilities. • A team-oriented mindset with a focus on collaborative solutions. • Commitment to company values and the ability to prioritize tasks effectively. • Strong organizational skills and ability to manage multiple priorities simultaneously.

🎯 Requirements

• Minimum of 1 year of experience in insurance follow-up or denials management OR completion of a medical billing/follow-up certificate or degree • Ability to analyze accounts for claims resolution • High school diploma or equivalent • Minimum of 6 months of experience in coverage and eligibility (preferred) • Familiarity with claim status, appeals, and billing procedures (preferred) • Basic knowledge of medical billing and coding • Experience in claims billing and reimbursement analysis • Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)